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FNA Interpretation help

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Old 08-23-2008, 11:27 AM   #1
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FNA Interpretation help

The good news is that no malignant cells were found. The interpretation says that the slides contain few follicular cells, macrophanges and abundant colliod. I'm assuming that none of those things are anything to worry about but my endo said that she would discuss the findings at the next appointment. Any thoughts?

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Old 08-23-2008, 03:21 PM   #2
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Re: FNA Interpretation help

I had a biopsy with follicular cells, the final result was follicular endoplasm. My endo refer me to the surgeon and they both agree that It should be removed in order to rule out cancer. The thing with follicular endoplasm is that it is difficult to tell if it is benign or malign, mine showed up benign but they can "disguise" as benign and be malignant instead. Is a tricky one, even though it showed benign they can't be sure. That's my case, doesn't mean yours is the same. Did they tell you to go and have it checked every 6 months instead of a year? that's what they told me if I decided to not go for surgery, is has to be watched closely.

Old 08-23-2008, 07:00 PM   #3
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Re: FNA Interpretation help

Thanks for the reply. I have to have it checked every six months. My endo said she would discuss these findings with me at my next appointment which is in 6 months. Surgery wasn't even mentioned. She seemed pretty confident that there was nothing to worry about, but now I'm not so sure. If surgery is needed I have met my deductable this year and now would be a good time to get it done.

Old 08-23-2008, 08:39 PM   #4
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Re: FNA Interpretation help

My daughters nodule turned out to be papillary with a follicular variant. Follicular cancer is more agreesive & can spread via the blood to breast & bone whereas papillary is more likely to spread to the lymph nodes & stay in the neck area.

I don't know if a follicular variant carries the same risk as a pure follicular nodule. She had a TT but wishes she had just had only had the lobe with the nodule out because all of her parathroids were distroyed. She still has major calcium issues plus the thyroid hormone issues. Apparently, the parathyroids can be diffcult to find & deal with even with the best surgeon. Still the % of people having this problem is low. It doesn't matter though if you are in that % & have kids & a job to manage, life gets difficult. Fam

Last edited by famnd; 08-23-2008 at 08:40 PM.

Old 08-26-2008, 05:33 AM   #5
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Re: FNA Interpretation help

Thanks for the replies. I guess I am a little confused. Does the fact that they found follicular cells mean that it could still be cancerous? My endo didn't seem concerned at all but said that we would discuss it more at my next appointment in 6 months.

Old 08-26-2008, 09:15 AM   #6
Red Maple
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Re: FNA Interpretation help

The 'abundant' colloid is good. To my knowledge a dangerous malignancy is usually accompanied by 'scant' colloid. I also had follicular architecture to the cells in my FNA with scant colloid, had a partial thyroidectomy, and the surgical biospy found that there was no definate malignancy. However whenever there is a possibility of malignancy, your own doctor is your best advisor. Good luck and keep us posted!

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